Two individuals with potential monkeypox virus reinfection
Over 80 000 mpox (formerly known as monkeypox) cases have been confirmed worldwide and recovered individuals are considered protected against reinfection.1–3 However, an individual with apparent reinfection has been recently reported.4 In this Comment we describe two individuals with potential monke...
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| Veröffentlicht in: | The Lancet infectious diseases Jg. 23; H. 5; S. 522 - 524 |
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01.05.2023
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| Abstract | Over 80 000 mpox (formerly known as monkeypox) cases have been confirmed worldwide and recovered individuals are considered protected against reinfection.1–3 However, an individual with apparent reinfection has been recently reported.4 In this Comment we describe two individuals with potential monkeypox virus reinfection at San Raffaele Hospital, Milan, Italy (figure; see appendix for details on testing and results). Monkeypox virus PCR was positive for lesion, rectal, and oropharyngeal swabs with cycle threshold values ranging between 18 and 32, with concurrent chlamydia proctitis. Anoscopy revealed mucosal congestion with erosions and ulcerations, and a rectal swab was positive for both monkeypox virus with a cycle threshold value of 37, and for chlamydia. |
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| AbstractList | Over 80 000 mpox (formerly known as monkeypox) cases have been confirmed worldwide and recovered individuals are considered protected against reinfection.1–3 However, an individual with apparent reinfection has been recently reported.4 In this Comment we describe two individuals with potential monkeypox virus reinfection at San Raffaele Hospital, Milan, Italy (figure; see appendix for details on testing and results). Monkeypox virus PCR was positive for lesion, rectal, and oropharyngeal swabs with cycle threshold values ranging between 18 and 32, with concurrent chlamydia proctitis. Anoscopy revealed mucosal congestion with erosions and ulcerations, and a rectal swab was positive for both monkeypox virus with a cycle threshold value of 37, and for chlamydia. |
| Author | Raccagni, Angelo Roberto Mileto, Davide Albarello, Luca Canetti, Diana Micheli, Valeria Nozza, Silvia Gismondo, Maria Rita Candela, Caterina Castagna, Antonella Mancon, Alessandro Bracchitta, Fiorenza Tamburini, Andrea Marco |
| Author_xml | – sequence: 1 givenname: Angelo Roberto surname: Raccagni fullname: Raccagni, Angelo Roberto email: raccagni.angelo@hsr.it organization: Infectious Diseases Unit, Vita Salute San Raffaele University, Milan, Italy – sequence: 2 givenname: Diana surname: Canetti fullname: Canetti, Diana organization: Infectious Diseases Unit, San Raffaele Scientific Institute, Milan, Italy – sequence: 3 givenname: Davide surname: Mileto fullname: Mileto, Davide organization: Laboratory of Clinical Microbiology, Virology and Bioemergencies, Ospedale Sacco, Milan, Italy – sequence: 4 givenname: Andrea Marco surname: Tamburini fullname: Tamburini, Andrea Marco organization: Gastrointestinal Surgery Unit, Vita Salute San Raffaele University, Milan, Italy – sequence: 5 givenname: Caterina surname: Candela fullname: Candela, Caterina organization: Infectious Diseases Unit, Vita Salute San Raffaele University, Milan, Italy – sequence: 6 givenname: Luca surname: Albarello fullname: Albarello, Luca organization: Department of Pathology, Vita Salute San Raffaele University, Milan, Italy – sequence: 7 givenname: Fiorenza surname: Bracchitta fullname: Bracchitta, Fiorenza organization: Laboratory of Clinical Microbiology, Virology and Bioemergencies, Ospedale Sacco, Milan, Italy – sequence: 8 givenname: Alessandro surname: Mancon fullname: Mancon, Alessandro organization: Laboratory of Clinical Microbiology, Virology and Bioemergencies, Ospedale Sacco, Milan, Italy – sequence: 9 givenname: Valeria surname: Micheli fullname: Micheli, Valeria organization: Laboratory of Clinical Microbiology, Virology and Bioemergencies, Ospedale Sacco, Milan, Italy – sequence: 10 givenname: Maria Rita surname: Gismondo fullname: Gismondo, Maria Rita organization: Laboratory of Clinical Microbiology, Virology and Bioemergencies, Ospedale Sacco, Milan, Italy – sequence: 11 givenname: Antonella surname: Castagna fullname: Castagna, Antonella organization: Infectious Diseases Unit, Vita Salute San Raffaele University, Milan, Italy – sequence: 12 givenname: Silvia surname: Nozza fullname: Nozza, Silvia organization: Infectious Diseases Unit, Vita Salute San Raffaele University, Milan, Italy |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37031694$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1056/NEJMoa2207323 10.1016/j.cell.2016.09.049 10.1038/nm1261 10.1016/S1473-3099(22)00586-2 10.3201/eid2810.221107 10.1016/S1473-3099(22)00228-6 10.2807/1560-7917.ES.2022.27.35.2200636 10.1136/sextrans-2022-055736 |
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| References_xml | – volume: 23 start-page: 74 year: 2023 end-page: 80 ident: bib5 article-title: Viral loads in clinical samples of men with monkeypox virus infection: a French case series publication-title: Lancet Infect Dis – volume: 167 start-page: 684 year: 2016 ident: bib2 article-title: Cross-neutralizing and protective human antibody specificities to poxvirus infections publication-title: Cell – volume: 11 start-page: 740 year: 2005 end-page: 747 ident: bib3 article-title: Smallpox vaccine-induced antibodies are necessary and sufficient for protection against monkeypox virus publication-title: Nat Med – volume: 27 year: 2022 ident: bib9 article-title: Monkeypox DNA levels correlate with virus infectivity in clinical samples, Israel, 2022 publication-title: Euro Surveill – volume: 387 start-page: 679 year: 2022 end-page: 691 ident: bib1 article-title: Monkeypox virus infection in humans across 16 countries—April–June 2022 publication-title: N Engl J Med – volume: 22 start-page: 1153 year: 2022 end-page: 1162 ident: bib7 article-title: Clinical features and management of human monkeypox: a retrospective observational study in the UK publication-title: Lancet Infect Dis – year: Sept 23, 2022 ident: bib10 article-title: Investigation into monkeypox outbreak in England: technical briefing 1 – volume: 28 start-page: 2074 year: 2022 end-page: 2077 ident: bib8 article-title: Ten-week follow-up of monkeypox case-patient, Sweden, 2022 publication-title: Emerg Infect Dis – year: 2023 ident: bib4 article-title: Case of apparent mpox reinfection publication-title: Sex Transm Infect – year: 2022 ident: bib6 article-title: Viral dynamics in patients with monkeypox infection: a prospective cohort study in Spain publication-title: Lancet Infect Dis – volume: 387 start-page: 679 year: 2022 ident: 10.1016/S1473-3099(23)00185-8_bib1 article-title: Monkeypox virus infection in humans across 16 countries—April–June 2022 publication-title: N Engl J Med doi: 10.1056/NEJMoa2207323 – volume: 167 start-page: 684 year: 2016 ident: 10.1016/S1473-3099(23)00185-8_bib2 article-title: Cross-neutralizing and protective human antibody specificities to poxvirus infections publication-title: Cell doi: 10.1016/j.cell.2016.09.049 – volume: 11 start-page: 740 year: 2005 ident: 10.1016/S1473-3099(23)00185-8_bib3 article-title: Smallpox vaccine-induced antibodies are necessary and sufficient for protection against monkeypox virus publication-title: Nat Med doi: 10.1038/nm1261 – volume: 23 start-page: 74 year: 2023 ident: 10.1016/S1473-3099(23)00185-8_bib5 article-title: Viral loads in clinical samples of men with monkeypox virus infection: a French case series publication-title: Lancet Infect Dis doi: 10.1016/S1473-3099(22)00586-2 – year: 2022 ident: 10.1016/S1473-3099(23)00185-8_bib6 article-title: Viral dynamics in patients with monkeypox infection: a prospective cohort study in Spain publication-title: Lancet Infect Dis – volume: 28 start-page: 2074 year: 2022 ident: 10.1016/S1473-3099(23)00185-8_bib8 article-title: Ten-week follow-up of monkeypox case-patient, Sweden, 2022 publication-title: Emerg Infect Dis doi: 10.3201/eid2810.221107 – volume: 22 start-page: 1153 year: 2022 ident: 10.1016/S1473-3099(23)00185-8_bib7 article-title: Clinical features and management of human monkeypox: a retrospective observational study in the UK publication-title: Lancet Infect Dis doi: 10.1016/S1473-3099(22)00228-6 – volume: 27 year: 2022 ident: 10.1016/S1473-3099(23)00185-8_bib9 article-title: Monkeypox DNA levels correlate with virus infectivity in clinical samples, Israel, 2022 publication-title: Euro Surveill doi: 10.2807/1560-7917.ES.2022.27.35.2200636 – year: 2023 ident: 10.1016/S1473-3099(23)00185-8_bib4 article-title: Case of apparent mpox reinfection publication-title: Sex Transm Infect doi: 10.1136/sextrans-2022-055736 – reference: 37031695 - Lancet Infect Dis. 2023 May;23(5):509 |
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| SubjectTerms | Chlamydia Comment Educational materials HIV Human immunodeficiency virus Humans Infections Infectious diseases Monkeypox virus - genetics Mpox Mpox (monkeypox) - epidemiology Proctitis Rectum Reinfection Severe acute respiratory syndrome coronavirus 2 Viruses |
| Title | Two individuals with potential monkeypox virus reinfection |
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